|
APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES
|
Facility
|
IP
|
$16,865.12
|
|
|
Service Code
|
APR-DRG 2264
|
| Min. Negotiated Rate |
$16,062.02 |
| Max. Negotiated Rate |
$16,865.12 |
| Rate for Payer: BCBS Complete |
$16,865.12
|
| Rate for Payer: Mclaren Medicaid |
$16,062.02
|
| Rate for Payer: Meridian Medicaid |
$16,865.12
|
| Rate for Payer: PHP Medicaid |
$16,062.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,062.02
|
| Rate for Payer: UHCCP Medicaid |
$16,062.02
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$2,638.41
|
|
|
Service Code
|
APR-DRG 1981
|
| Min. Negotiated Rate |
$2,512.77 |
| Max. Negotiated Rate |
$2,638.41 |
| Rate for Payer: BCBS Complete |
$2,638.41
|
| Rate for Payer: Mclaren Medicaid |
$2,512.77
|
| Rate for Payer: Meridian Medicaid |
$2,638.41
|
| Rate for Payer: PHP Medicaid |
$2,512.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,512.77
|
| Rate for Payer: UHCCP Medicaid |
$2,512.77
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$7,656.56
|
|
|
Service Code
|
APR-DRG 1984
|
| Min. Negotiated Rate |
$7,291.96 |
| Max. Negotiated Rate |
$7,656.56 |
| Rate for Payer: BCBS Complete |
$7,656.56
|
| Rate for Payer: Mclaren Medicaid |
$7,291.96
|
| Rate for Payer: Meridian Medicaid |
$7,656.56
|
| Rate for Payer: PHP Medicaid |
$7,291.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,291.96
|
| Rate for Payer: UHCCP Medicaid |
$7,291.96
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$4,138.68
|
|
|
Service Code
|
APR-DRG 1983
|
| Min. Negotiated Rate |
$3,941.60 |
| Max. Negotiated Rate |
$4,138.68 |
| Rate for Payer: BCBS Complete |
$4,138.68
|
| Rate for Payer: Mclaren Medicaid |
$3,941.60
|
| Rate for Payer: Meridian Medicaid |
$4,138.68
|
| Rate for Payer: PHP Medicaid |
$3,941.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,941.60
|
| Rate for Payer: UHCCP Medicaid |
$3,941.60
|
|
|
APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS
|
Facility
|
IP
|
$3,155.74
|
|
|
Service Code
|
APR-DRG 1982
|
| Min. Negotiated Rate |
$3,005.47 |
| Max. Negotiated Rate |
$3,155.74 |
| Rate for Payer: BCBS Complete |
$3,155.74
|
| Rate for Payer: Mclaren Medicaid |
$3,005.47
|
| Rate for Payer: Meridian Medicaid |
$3,155.74
|
| Rate for Payer: PHP Medicaid |
$3,005.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,005.47
|
| Rate for Payer: UHCCP Medicaid |
$3,005.47
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$13,295.51
|
|
|
Service Code
|
APR-DRG 0594
|
| Min. Negotiated Rate |
$12,662.39 |
| Max. Negotiated Rate |
$13,295.51 |
| Rate for Payer: BCBS Complete |
$13,295.51
|
| Rate for Payer: Mclaren Medicaid |
$12,662.39
|
| Rate for Payer: Meridian Medicaid |
$13,295.51
|
| Rate for Payer: PHP Medicaid |
$12,662.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,662.39
|
| Rate for Payer: UHCCP Medicaid |
$12,662.39
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 0591
|
| Min. Negotiated Rate |
$3,843.06 |
| Max. Negotiated Rate |
$4,035.21 |
| Rate for Payer: BCBS Complete |
$4,035.21
|
| Rate for Payer: Mclaren Medicaid |
$3,843.06
|
| Rate for Payer: Meridian Medicaid |
$4,035.21
|
| Rate for Payer: PHP Medicaid |
$3,843.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,843.06
|
| Rate for Payer: UHCCP Medicaid |
$3,843.06
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$6,518.42
|
|
|
Service Code
|
APR-DRG 0592
|
| Min. Negotiated Rate |
$6,208.02 |
| Max. Negotiated Rate |
$6,518.42 |
| Rate for Payer: BCBS Complete |
$6,518.42
|
| Rate for Payer: Mclaren Medicaid |
$6,208.02
|
| Rate for Payer: Meridian Medicaid |
$6,518.42
|
| Rate for Payer: PHP Medicaid |
$6,208.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,208.02
|
| Rate for Payer: UHCCP Medicaid |
$6,208.02
|
|
|
APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE
|
Facility
|
IP
|
$9,001.63
|
|
|
Service Code
|
APR-DRG 0593
|
| Min. Negotiated Rate |
$8,572.98 |
| Max. Negotiated Rate |
$9,001.63 |
| Rate for Payer: BCBS Complete |
$9,001.63
|
| Rate for Payer: Mclaren Medicaid |
$8,572.98
|
| Rate for Payer: Meridian Medicaid |
$9,001.63
|
| Rate for Payer: PHP Medicaid |
$8,572.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,572.98
|
| Rate for Payer: UHCCP Medicaid |
$8,572.98
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$14,692.31
|
|
|
Service Code
|
APR-DRG 5474
|
| Min. Negotiated Rate |
$13,992.68 |
| Max. Negotiated Rate |
$14,692.31 |
| Rate for Payer: BCBS Complete |
$14,692.31
|
| Rate for Payer: Mclaren Medicaid |
$13,992.68
|
| Rate for Payer: Meridian Medicaid |
$14,692.31
|
| Rate for Payer: PHP Medicaid |
$13,992.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,992.68
|
| Rate for Payer: UHCCP Medicaid |
$13,992.68
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$4,914.68
|
|
|
Service Code
|
APR-DRG 5472
|
| Min. Negotiated Rate |
$4,680.65 |
| Max. Negotiated Rate |
$4,914.68 |
| Rate for Payer: BCBS Complete |
$4,914.68
|
| Rate for Payer: Mclaren Medicaid |
$4,680.65
|
| Rate for Payer: Meridian Medicaid |
$4,914.68
|
| Rate for Payer: PHP Medicaid |
$4,680.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,680.65
|
| Rate for Payer: UHCCP Medicaid |
$4,680.65
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$7,656.56
|
|
|
Service Code
|
APR-DRG 5473
|
| Min. Negotiated Rate |
$7,291.96 |
| Max. Negotiated Rate |
$7,656.56 |
| Rate for Payer: BCBS Complete |
$7,656.56
|
| Rate for Payer: Mclaren Medicaid |
$7,291.96
|
| Rate for Payer: Meridian Medicaid |
$7,656.56
|
| Rate for Payer: PHP Medicaid |
$7,291.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,291.96
|
| Rate for Payer: UHCCP Medicaid |
$7,291.96
|
|
|
APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE
|
Facility
|
IP
|
$2,690.14
|
|
|
Service Code
|
APR-DRG 5471
|
| Min. Negotiated Rate |
$2,562.04 |
| Max. Negotiated Rate |
$2,690.14 |
| Rate for Payer: BCBS Complete |
$2,690.14
|
| Rate for Payer: Mclaren Medicaid |
$2,562.04
|
| Rate for Payer: Meridian Medicaid |
$2,690.14
|
| Rate for Payer: PHP Medicaid |
$2,562.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,562.04
|
| Rate for Payer: UHCCP Medicaid |
$2,562.04
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$8,329.09
|
|
|
Service Code
|
APR-DRG 5664
|
| Min. Negotiated Rate |
$7,932.47 |
| Max. Negotiated Rate |
$8,329.09 |
| Rate for Payer: BCBS Complete |
$8,329.09
|
| Rate for Payer: Mclaren Medicaid |
$7,932.47
|
| Rate for Payer: Meridian Medicaid |
$8,329.09
|
| Rate for Payer: PHP Medicaid |
$7,932.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,932.47
|
| Rate for Payer: UHCCP Medicaid |
$7,932.47
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$4,707.75
|
|
|
Service Code
|
APR-DRG 5663
|
| Min. Negotiated Rate |
$4,483.57 |
| Max. Negotiated Rate |
$4,707.75 |
| Rate for Payer: BCBS Complete |
$4,707.75
|
| Rate for Payer: Mclaren Medicaid |
$4,483.57
|
| Rate for Payer: Meridian Medicaid |
$4,707.75
|
| Rate for Payer: PHP Medicaid |
$4,483.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,483.57
|
| Rate for Payer: UHCCP Medicaid |
$4,483.57
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$1,862.41
|
|
|
Service Code
|
APR-DRG 5661
|
| Min. Negotiated Rate |
$1,773.72 |
| Max. Negotiated Rate |
$1,862.41 |
| Rate for Payer: BCBS Complete |
$1,862.41
|
| Rate for Payer: Mclaren Medicaid |
$1,773.72
|
| Rate for Payer: Meridian Medicaid |
$1,862.41
|
| Rate for Payer: PHP Medicaid |
$1,773.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,773.72
|
| Rate for Payer: UHCCP Medicaid |
$1,773.72
|
|
|
APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE
|
Facility
|
IP
|
$2,638.41
|
|
|
Service Code
|
APR-DRG 5662
|
| Min. Negotiated Rate |
$2,512.77 |
| Max. Negotiated Rate |
$2,638.41 |
| Rate for Payer: BCBS Complete |
$2,638.41
|
| Rate for Payer: Mclaren Medicaid |
$2,512.77
|
| Rate for Payer: Meridian Medicaid |
$2,638.41
|
| Rate for Payer: PHP Medicaid |
$2,512.77
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,512.77
|
| Rate for Payer: UHCCP Medicaid |
$2,512.77
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$17,072.06
|
|
|
Service Code
|
APR-DRG 2334
|
| Min. Negotiated Rate |
$16,259.10 |
| Max. Negotiated Rate |
$17,072.06 |
| Rate for Payer: BCBS Complete |
$17,072.06
|
| Rate for Payer: Mclaren Medicaid |
$16,259.10
|
| Rate for Payer: Meridian Medicaid |
$17,072.06
|
| Rate for Payer: PHP Medicaid |
$16,259.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$16,259.10
|
| Rate for Payer: UHCCP Medicaid |
$16,259.10
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,001.09
|
|
|
Service Code
|
APR-DRG 2331
|
| Min. Negotiated Rate |
$5,715.32 |
| Max. Negotiated Rate |
$6,001.09 |
| Rate for Payer: BCBS Complete |
$6,001.09
|
| Rate for Payer: Mclaren Medicaid |
$5,715.32
|
| Rate for Payer: Meridian Medicaid |
$6,001.09
|
| Rate for Payer: PHP Medicaid |
$5,715.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,715.32
|
| Rate for Payer: UHCCP Medicaid |
$5,715.32
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$7,708.29
|
|
|
Service Code
|
APR-DRG 2332
|
| Min. Negotiated Rate |
$7,341.23 |
| Max. Negotiated Rate |
$7,708.29 |
| Rate for Payer: BCBS Complete |
$7,708.29
|
| Rate for Payer: Mclaren Medicaid |
$7,341.23
|
| Rate for Payer: Meridian Medicaid |
$7,708.29
|
| Rate for Payer: PHP Medicaid |
$7,341.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,341.23
|
| Rate for Payer: UHCCP Medicaid |
$7,341.23
|
|
|
APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,864.04
|
|
|
Service Code
|
APR-DRG 2333
|
| Min. Negotiated Rate |
$10,346.70 |
| Max. Negotiated Rate |
$10,864.04 |
| Rate for Payer: BCBS Complete |
$10,864.04
|
| Rate for Payer: Mclaren Medicaid |
$10,346.70
|
| Rate for Payer: Meridian Medicaid |
$10,864.04
|
| Rate for Payer: PHP Medicaid |
$10,346.70
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,346.70
|
| Rate for Payer: UHCCP Medicaid |
$10,346.70
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$10,501.90
|
|
|
Service Code
|
APR-DRG 2343
|
| Min. Negotiated Rate |
$10,001.81 |
| Max. Negotiated Rate |
$10,501.90 |
| Rate for Payer: BCBS Complete |
$10,501.90
|
| Rate for Payer: Mclaren Medicaid |
$10,001.81
|
| Rate for Payer: Meridian Medicaid |
$10,501.90
|
| Rate for Payer: PHP Medicaid |
$10,001.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,001.81
|
| Rate for Payer: UHCCP Medicaid |
$10,001.81
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$5,587.22
|
|
|
Service Code
|
APR-DRG 2341
|
| Min. Negotiated Rate |
$5,321.16 |
| Max. Negotiated Rate |
$5,587.22 |
| Rate for Payer: BCBS Complete |
$5,587.22
|
| Rate for Payer: Mclaren Medicaid |
$5,321.16
|
| Rate for Payer: Meridian Medicaid |
$5,587.22
|
| Rate for Payer: PHP Medicaid |
$5,321.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,321.16
|
| Rate for Payer: UHCCP Medicaid |
$5,321.16
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$15,157.92
|
|
|
Service Code
|
APR-DRG 2344
|
| Min. Negotiated Rate |
$14,436.11 |
| Max. Negotiated Rate |
$15,157.92 |
| Rate for Payer: BCBS Complete |
$15,157.92
|
| Rate for Payer: Mclaren Medicaid |
$14,436.11
|
| Rate for Payer: Meridian Medicaid |
$15,157.92
|
| Rate for Payer: PHP Medicaid |
$14,436.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,436.11
|
| Rate for Payer: UHCCP Medicaid |
$14,436.11
|
|
|
APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS
|
Facility
|
IP
|
$6,828.82
|
|
|
Service Code
|
APR-DRG 2342
|
| Min. Negotiated Rate |
$6,503.64 |
| Max. Negotiated Rate |
$6,828.82 |
| Rate for Payer: BCBS Complete |
$6,828.82
|
| Rate for Payer: Mclaren Medicaid |
$6,503.64
|
| Rate for Payer: Meridian Medicaid |
$6,828.82
|
| Rate for Payer: PHP Medicaid |
$6,503.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,503.64
|
| Rate for Payer: UHCCP Medicaid |
$6,503.64
|
|